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Get the free Dexa Bone Density Scan Request Form

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This document serves as a request form for a DEXA bone density scan, including patient identification, reasons for the scan, clinical details, and contact information for the referring medical practitioner.
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How to fill out dexa bone density scan

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How to fill out dexa bone density scan

01
Obtain a prescription from your healthcare provider for the DEXA scan.
02
Arrive at the facility where the scan will be performed, typically a hospital or radiology center.
03
Wear comfortable clothing without metal fasteners or zippers that may interfere with the scan.
04
Inform the technician if you have had any recent imaging tests or procedures that may affect the results.
05
Lie down on the scan table as instructed by the technician, usually in a position similar to lying flat on your back.
06
Remain still during the scan which typically lasts around 10-30 minutes.
07
After the scan, you can resume normal activities immediately without any restrictions.

Who needs dexa bone density scan?

01
Postmenopausal women at increased risk of osteoporosis.
02
Individuals over age 50 with risk factors for fractures.
03
Men over age 70 or younger men with risk factors.
04
People with medical conditions that affect bone health such as rheumatoid arthritis or hyperthyroidism.
05
Individuals taking medications that can affect bone density like corticosteroids.
06
Those who have experienced fractures from minimal trauma.
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A DEXA (Dual-Energy X-ray Absorptiometry) bone density scan is a medical imaging test that assesses bone mineral density to evaluate bone health and diagnose conditions such as osteoporosis.
Individuals, typically those at risk for osteoporosis, such as postmenopausal women, older adults, and those with certain medical conditions or a family history of osteoporosis, are recommended to undergo a DEXA scan.
Filling out a DEXA bone density scan typically involves providing personal and medical history, including any medications being taken, prior bone health issues, and risk factors for osteoporosis, as provided on the appointment form or questionnaire.
The purpose of a DEXA bone density scan is to measure bone density, assess fracture risk, and help diagnose osteoporosis and other bone-related conditions.
The information reported on a DEXA bone density scan includes the patient's bone mineral density measurements, T-scores, Z-scores, and recommendations based on the results, along with demographic and clinical history.
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